NPIMap

Organization Active NPI

Mary Afzali,D.D.S.,Inc.

Doing business as R.B. Family Dentistry

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1235258419
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
39224 Issued in CA
Legal business name
MARY AFZALI,D.D.S.,INC.
Doing business as
R.B. Family Dentistry
Practice address
16776 Bernardo Center Dr
Suite 105
San Diego, CA 92128-2534
Phone
(858) 485-0044
Fax
(858) 485-8150
NPI assigned
Mar 28, 2007
Last updated
Jul 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Maryam Z Afzali, DDSNPI 1366818353
Title
Owner
Phone
(858) 485-0044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 39224 CA Primary

Addresses

Primary practice location

16776 Bernardo Center Dr
Suite 105
San Diego, CA 92128-2534

Mailing address

16776 Bernardo Center Dr
Suite 105
San Diego, CA 92128-2534
Phone (858) 485-0044

Other names 1

  • R.B. Family Dentistry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mary Afzalidds Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1235258419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16776 BERNARDO CENTER DR",
            "address_2": "SUITE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282534",
            "telephone_number": "858-485-0044",
            "fax_number": "858-485-8150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16776 BERNARDO CENTER DR",
            "address_2": "SUITE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282534",
            "telephone_number": "858-485-0044",
            "fax_number": "858-485-8150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY AFZALI,D.D.S.,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "AFZALI",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-485-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "39224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R.B. Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.